Recent progress in understanding the pathophysiology of post-traumatic stress disorder: implications for targeted pharmacological treatment.

Recent progress in understanding the pathophysiology of post-traumatic stress disorder: implications for targeted pharmacological treatment.
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DOI:
10.1007/s40263-013-0051-4
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发表时间:
2013-03
期刊:
影响因子:
6
通讯作者:
Neumeister, Alexander
Neumeister, Alexander
中科院分区:
医学2区
文献类型:
--
作者:
Bailey, Christopher R.;Cordell, Elisabeth;Sobin, Sean M.;Neumeister, Alexander

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创伤后应激障碍(PTSD)是一种常见的慢性焦虑症,可在暴露于创伤事件后引起。虽然我们对PTSD的病因学的理解是不完整的,但几个神经生物学系统已经涉及创伤暴露后发展PTSD的病理生理学和脆弱性。我们的目的是提供一个简明的审查基准的结果,在重要的神经生物学系统相关的病因和维持PTSD神经病学。具体而言,我们讨论了去甲肾上腺素能,肾上腺素能,内源性大麻素和阿片类药物系统以及下丘脑-垂体肾上腺(HPA)轴的功能病因。本文提供了一个简洁的框架,以了解目前的理解与创伤后应激障碍的病理生理学的神经生物学机制,以及这些发现可能会影响未来的发展,有针对性的药物治疗这种衰弱的疾病。
Post-traumatic stress disorder (PTSD) is a common and chronic anxiety disorder that can result after exposure to a traumatic event. Though our understanding of the aetiology of PTSD is incomplete, several neurobiological systems have been implicated in the pathophysiology and vulnerability towards developing PTSD after trauma exposure. We aimed to provide a concise review of benchmark findings in important neurobiological systems related to the aetiology and maintenance of PTSD symptomology. Specifically, we discuss functional aetiologies in the noradrenergic, serotonergic, endogenous cannabinoid and opioid systems as well as the hypothalamic-pituitary adrenal (HPA) axis. This article provides a succinct framework to appreciate the current understanding of neurobiological mechanisms related to the pathophysiology of PTSD and how these findings may impact the development of future, targeted pharmacological treatments for this debilitating disorder.
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